• Birgit Weyand and Marcus Spies.
• Klinik für Plastische, Ästhetische, Hand und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, OE 6260, Carl-Neubergstr. 1, 30625, Hannover, Deutschland. weyand.birgit@mh-hannover.de.
• Unfallchirurg. 2021 Oct 1; 124 (10): 823-831.

BackgroundTraumatic nerve injuries are associated with a high morbidity and long rehabilitation times. The extent of a nerve lesion and the related regeneration potential can often only be estimated during the course, whereby the time window for successful surgical interventions is limited.ObjectiveThe incidence and distribution of traumatic nerve lesions are reported. Algorithms for treatment decisions are presented.Material And MethodsStatistics from the German TraumaRegister DGU® as well as international registers were evaluated. The results of basic research and expert recommendations for diagnostics and treatment are discussed.Results And ConclusionA strategic approach to conservative and surgical treatment of traumatic nerve injuries depending on the extent of injury and resulting regeneration potential is recommended. In conjunction with the clinical course, electrophysiology and imaging diagnostics, e.g. nerve sonography, can help to differentiate between neurapraxia, axonotmesis and neurotmesis.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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